患者的自我耻辱:德国和日本之间的比较
Izumi Kuramochi1,2,3, Takayuki Iwayama2,4, Hiroaki Okajima3
1Department of Epileptology, Krankenhaus Mara, Bethel Epilepsy Center, Medical School OWL, Bielefeld University, Bielefeld, Germany.
Epilepsia open
|March 24, 2025
概括
日本患者的自我耻辱感,抑郁和焦虑程度高于德国患者. 文化因素和医疗保健系统显著影响患者的心理社会福祉和生活质量 (PWE).
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 跨文化研究 跨文化研究
背景情况:
- 是一种神经系统疾病,其全球患病率和治疗机会各不相同.
- 耻辱显著影响患者 (PWE) 的生活质量 (QOL).
- 文化差异可能会影响PWE体验的耻辱和心理社会福祉.
研究的目的:
- 为了比较德国和日本治疗的PWE患者的自我耻辱,抑郁症状,焦虑和QOL.
- 探索PWE中对这些体验的文化影响.
- 识别症护理和支持方面的潜在差异.
主要方法:
- 德国和日本的三级中心的PWE进行了比较研究.
- 通过评估自我耻辱 (ESSS),自尊,抑郁,焦虑,知识和QOL的问卷收集的数据.
- 统计分析包括t测试,奇方测试和多重回归来比较样本并确定关联.
主要成果:
- 与德国PWE相比,日本PWE报告的自我耻辱,抑郁和焦虑明显更高.
- 日本参与者表现出较低的知识和自尊.
- 在回归分析中控制其他因素后,自我耻辱的文化差异仍然存在.
结论:
- 在日本和德国PWE之间存在明显的自我耻辱和心理社会因素差异.
- 医疗保健系统,制度框架和社会支持的差异可能会导致这些差异.
- 医疗保健提供者应考虑上下文因素,以改善的护理和全球PWE的支持.
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